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Organization
STRIDE COUNSELING SERIVCES
Active
Organization
STRIDE COUNSELING SERIVCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUIA DAVIS (OWNER)
(860) 722-4458
Entity
Organization
Contact information
Practice address
1268 MAIN ST, NEWINGTON, CT 06111-3038
(860) 722-4458
Mailing address
1268 MAIN ST, NEWINGTON, CT 06111-3038
(860) 722-4458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
008511
CT
1041C0700X
Clinical Social Worker
Primary
008511
CT
Other
Enumeration date
06/30/2015
Last updated
07/07/2015
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